In 2013, we wrote a letter, “On MeSH: Have Female Genitalia Fallen into Oblivion?,” addressing the responsibility that the US National Library of Medicine (NLM) had in defining the “clitoris.”1 Today, a terse definition of the “clitoris” is indexed in the Medical Subject Heading (MeSH). The “clitoris” is “an erectile structure homologous with the penis, situated beneath the anterior labial commissure, partially hidden between the anterior ends of the labia minora.” Its primary erotogenic function is not mentioned. In contrast, the MeSH definition of “penis” mentions its reproductive function but does not equate it to being homologous to the “clitoris.” This is problematic. Female genital mutilation and cutting, female genital cosmetic surgery, and the pressure on women not to look like men Some infibulation-practicing tribes in Somaliland believe that purification is the goal of removing the masculine remnants that are evidenced in external female genitalia.2 Similarly, some plastic surgeons view the external parts of female genitalia as extra skin, the removal of which is not necessarily mutilation but rather rejuvenation.3 These analogous notions contribute to confusion about how to criminalize female genital mutilation and cutting (FGM/C) in contexts where female genital cosmetic surgery (FGCS) is legitimized.